GO WILD for Winter - March Break Nature Camp

Why save all that energy and outdoor fun for the summer? Canada is fortunate to have 4 seasons and we plan to make the best out of each one!

FAB Nature Camps will be hosting our first ever, GO WILD for Winter - March Break Nature Camp! Imagine all of the excitement, adventure, and discoveries from summer, set in a winter landscape. That is EXACTLY what we have in store for you. This March Break, join us as we learn new outdoor survival skills, explore winter photography, build toboggans, and have a race of "Winter snakes".

Dates: March 11-15thLocation: Lansdowne Community CentreTime: 8am-4:30pmCost: $150 per camper, per week

Bring your own lunch, snacks, and WARM clothes!

A small number of bursaries are available for this program. Please contact Kelly McGann at kelly@fabn.ca if you would like to apply for a partial or full bursary or if you know someone who could benefit from this.

Registration for all 5 days is assumed, unless granted permission by the Program Manager, before registration.

Camper Information

Name *

Date of Birth *

Year

Month

Day

Age *

Address *

Doctor's Name

Health Card Number

Medical/other special needs

Parent(s) Name(s) *

Parent Email *

Telephone (cell)

Telephone (work)

Has your camper attended camp before (any)? *

Yes

No

Tell us a little more about your camper (likes/dislikes)

Emergency Contact Information

Name *

Relationship *

Telephone *

Email

Declaration for Distribution

This is to give permission for photographs of the camp participants, including my child, to be shared with other campers on our Facebook page and for advertisement in publications and/or newspapers. Names will not be released with any photos.

Signature *

Date *

Year

Month

Day

Release of Liability, Waiver of Claims Assumption of Risks and Indemnity Agreement

By signing this document you will waive certain legal rights, including the right to sue. PLEASE READ CAREFULLY QUALIFICATION AND STANDARDS

The Frontenac Arch Biosphere Nature Camps are organized and facilitated by the Frontenac Arch Biosphere Network, a not-for-profit, in conjunction with local municipalities and townships. We aim to provide high standard of care and experiences, to all of our campers. We have taken into consideration, the inherent risks associated with facilitating a camp near water and with children aged 6-12. Our staff are hired and trained to meet industry standards and have received clean Police Record Checks and have acquired up-to date CPR training. Our lifeguards are certified by the National Lifesaving Society and are required to participate in regular skills updates.

AWARENESS AND ASSUMPTION OF RISK I am aware that the Frontenac Arch Biosphere Nature Camp involves risks including risk of personal injury, death and property damage. Included in these risks are negligence on the part of the Frontenac Arch Biosphere Network, its directors, staff and volunteers, other participants and owners of the facilities where the activities occur (referred to in the rest of this agreement as “FRONTENAC ARCH BIOSPHERE NETWORK AND OTHERS”). I freely accept and fully assume all such risks and the possibility of my son/daughter’s personal injury, death and/or property damage. RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT In consideration of the Frontenac Arch Biosphere Network accepting my son/daughter’s application to participate in this activity, I agree: • To waive any and all claims that I may have in future against FRONTENAC ARCH BIOSPHERE NETWORK AND OTHERS. • To release the FRONTENAC ARCH BIOSPHERE NETWORK AND OTHERS for any and all liability of my son/daughter’s personal injury, death, property damage, as a result of my daughter/son’s participation in this activity, due to any cause whatsoever, including negligence, breach of regulation or breach of any statutory duty of care. • To hold harmless and indemnify FRONTENAC ARCH BIOSPHERE NETWORK AND OTHERS from any and all liability for any damage to property of, or personal injury to, any third party, resulting from my daughter/son’s participation in this activity. • That this agreement is binding on not only myself but my daughter/son’s next of kin, heirs, executors, administrators and assigns. I HAVE READ THIS AGREEMENT AND UNDERSTAND IT. I AM AWARE THAT BY SIGNING THIS DOCUMENT I AM WAIVING CERTAIN RIGHTS WHICH I OR MY DAUGHTER/SON’S NEXT OF KIN, HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST FRONTENAC ARCH BIOSPHERE NETWORK AND OTHERS.

Signature *

Date *

Year

Month

Day

May we share your name, address, and phone number with others interested in carpooling? *